St Louis University

NPI #1801869144 in Saint Louis, Missouri

Provider Information

NPI Number: 1801869144
Entity Type: Organization
Organization Name: St Louis University
Primary Specialty: Surgery
Enumeration Date: Feb 8, 2006
Last Updated: Sep 21, 2021

Practice Location

Address: 3655 VISTA AVE
City: Saint Louis
State: Missouri
ZIP Code: 63110-2539
Phone: (314) 977-4440

Authorized Official

Name: MRS. ALYCE LANXON
Title: EXECUTIVE DIRECTOR
Phone: (314) 977-6828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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